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Research Objectives
To assess visual processing and balance and their relationship to each other in ambulatory
children with CP.
Design
Case series that compares a group of subjects with CP and a control group in regard
to visual processing and balance. Duration for participant is one visit.
Setting
Patients at Shriners Children's Chicago.
Participants
CP group has five participants with a diagnosis of CP, who were able to ambulate without
an assistive device (GMFCS II), and all have visual perception issues. The five typically
developing participants in the Control Group were age matched, and have normal GMFCS
level. Participants' age 7-17yo.
Interventions
Each participant was asked demographic questions and completed multiple tests: TVPS-4,
PBS, and SOT.
Main Outcome Measures
Test of Visual Perceptual Skills - 4th Edition was used to assess visual-perceptual
strengths and weaknesses using black and white drawings and multiple-choice responses.
Pediatric Balance Scale assesses functional balance skills in school-aged children
who are able to stand on their own by asking them to complete balance tasks in sitting
and standing. The Sensory Organization Test (SOT) on the CPD tests the participants
under six balance conditions with the child wearing a harness and standing on a balance
platform.
Results
A paired t-test was run for the three outcome tools between the participant groups.
A statistically significant difference was found between the CP and Control Groups
for the TVPS-4 (p = 0.022).. Using Pearson correlation, there was an association between
age of independent walking (mos.) (r=0.84) and comfort duration with reading (r=-0.99)
for the CP group. All the children with CP in the study have visual perception issues,
but 3/5 have a normal balance score on PBS, and 4/5 have issues with reading.
Conclusions
A clear conceptual definition and framework for measuring vision skills is critical
in furthering our understanding of the topic. Tracking skills were not tested in this
study, but could affect reading and balance. Could test dynamic balance and tracking
skills to understand vision in balance in children with CP.
Author(s) Disclosures
N/A.
Key Words
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© 2022 Published by Elsevier Inc.
